100 Chiro Sutter, LLC
Organization Active NPI Chiropractor · Nashville, TN
NPI 1982379285 · NPPES record last updated Aug 10, 2021
Key facts
- NPI
- 1982379285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 100 CHIRO SUTTER, LLC
- Practice address
- 4110 Charlotte Ave
Nashville, TN 37209-3706 - Phone
- (719) 217-0895
- NPI assigned
- Aug 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Bryna Waters
- Title
- Owner
- Phone
- (828) 320-8455
Practitioners 4
-
Bryna Waters, D.C.
-
Todd Sheffer, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220223000101 | TN | Part B Supplier - Clinic/Group Practice | 9234523929 |
Receives reassigned benefits from 1 practitioner Practice locations: Nashville, TN |
National Provider Directory
Locations
4110 Charlotte Ave
Nashville, TN 37209
Phone (615) 942-8254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
4110 Charlotte Ave
Nashville, TN 37209-3706
Mailing address
4110 Charlotte Ave
Nashville, TN 37209-3706
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.